Vintage Valley Pharmacy LLC
NPI #1215641469 in Zillah, Washington
Provider Information
- NPI Number
- 1215641469
- Entity Type
- Organization
- Organization Name
- Vintage Valley Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 12, 2023
- Last Updated
- Feb 19, 2023
Practice Location
- Address
- 905 VINTAGE VALLEY PKWY UNIT E
- City
- Zillah
- State
- Washington
- ZIP Code
- 98953-9699
- Phone
- (509) 361-1000
Authorized Official
- Name
- REDDY ANNAPPAREDDY
- Title
- CEO
- Phone
- (509) 841-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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